So I saw an on-call p-doc today about insomnia (he ended up giving me his first Amitiptyline prescription in 10 years!). We discussed it. He did not change my main meds because it is a big decision to be made with the regular p-doc, but he gave his opinion. Without thinking of the cost, he ranked them as follows:

-- Abilify
-- Tegretol
-- Trileptal

Based on his experience, Abilify will be as effective as Geodon but without sexual side effects. Basically, try Abilify and pray that it does not cause Akathisia, and if it does, try Tegretol.

Considering the cost, Tegretol, at $4 at Walmart, is the winner.